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San Francisco VA Medical Center. VA SAN FRANCISCO: 2013/14:GME Orientation. VA Office of Academic Affiliations. VA: 4 Core Missions “To Educate for the VA and Nation” OAA Partnered since 1946 with medical schools 107/126 medical schools Agreements with >1200 educational institutions
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San Francisco VA Medical Center VA SAN FRANCISCO: 2013/14:GME Orientation
VA Office of Academic Affiliations • VA: 4 Core Missions • “To Educate for the VA and Nation” • OAA • Partnered since 1946 with medical schools • 107/126 medical schools • Agreements with >1200 educational institutions • >76,000 trainees • 11% GME costs nationally
VA ORGANIZATION • VA’s aligned in regions or VISNS • San Francisco (UCSF) • Palo Alto (Stanford) • Reno • Northern California (UC Davis) • Hawaii • Guam • Fresno
Eureka Ukiah Lake County Santa Rosa San Francisco VAMC/Nursing Home Unit 3rd and Harrison South San Francisco
VA SAN FRANCISCO • Patient Care • 61,000 unique pts • 583,000 outpt visits • 5100 inpts • 124 operating beds/120 nursing home beds • Education • 326 paid faculty, all with UCSF appts • 622 volunteer faculty • UME • Approximately ¼ student programs • Home of VALOR • GME • 39 specialties/subspecialties • 189 positions • Associated Health • Nursing, dental, podiatry, psychology • Research • #1 VA in research dollars, 87 million dollars
VA San Francisco National Referrals • Pacermakers • Movement Disorders • Robotic surgery National Programs of Excellence • Cardiovascular surgery • PTSD • HIV Medicine • Epilepsy • Dialysis • Primary Care Education • Homeless veteran program
VA Specific Issues • Registration of trainees/students • Computers • Training • PIV cards for computer access • Remote access • Supervision • Parking
Registration of Trainees • Multistep Process involving Service, HR, PIV card, IT • WOC appointment • Fingerprinting/background check • PIV Card
PIV Cards • 2004 Homeland Security Act mandating use of reliable form of ID throughout federal government • July 2013 requirement for PIV card to log into computer to prescribe controlled substances • Near future date for all computer access
ParkingGood, Bad, Ugly • Good’ • Cheap • Valet • Bad • sparse • Ugly • July 2013-????: new parking structure, off site parking
SUPPORT OF EDUCATION • Education Center • Center of Excellencein Primary Care Education • Resident/Fellows • ACLS Training • Simulation center • Dinner Tickets • Bike lockers • Lactation room • Increase in shuttle times